Are you satisfied with your PPO reimbursements?
Many Established dental practices suffer from low or decreasing PPO reimbursements, and simply do not have the time, expertise, or resources to address this revenue problem. Unitas’ PPO Management Service can help dental practices improve their stagnant or decreasing PPO reimbursements through PPO Negotiation & Optimization.
What We Provide
Office Fee Analysis
As the primary component to how you get reimbursed, we analyze your office fees to ensure that they are at a competitive level for your area. We also analyze your annual production summary to determine your top 35 grossing procedures codes, these will be used in future negotiations.
In order to optimize your insurance participation, we have to be absolutely certain about how you actually participate. We call & confirm your participation with each PPO insurance company.
Fee Schedule Collection
To ensure our evaluation is accurate and negotiations are effective, we request your current fee schedules directly from each PPO insurance company.
PPO Impact Report
Similar to a treatment plan, we create an in-depth report outlining what we’ve found from our analysis. This report includes a map of your participation, a list of top employers for your zip code, a detailed analysis of each fee schedule, and a negotiation plan, which projects what we can do to help improve your PPO revenue.
Upon accepting your Negotiation Plan, our team of experts will negotiate with our vast list of contacts at each major PPO insurance company in an effort to raise your reimbursements. With our combined experience and dedication, we strive to obtain the highest reimbursements possible.
Due to the ever-changing and confusing relationships between many PPO companies, many dentist’s can find themselves being paid under new fee schedules or through plans they’re not familiar with. We ensure that your participation is mapped out clearly and optimized in order to produce the optimal amount of patients at the highest rate of reimbursement.
In-House Discount Plan*
An in-house discount plan can help your practice maintain current patients, attract new patients and increase treatment plan acceptance. We provide your practice with a regulatory compliant in-house discount plan with three (3) discount levels for you to choose from. We help you implement, administer, manage and market your in-house plan. Coming Summer 2017! *Not all practices will be eligible for the in-house discount plan.
Continual PPO Management
PPO participation is constantly changing. As an added group of team members, Unitas will schedule and track when each of your PPOs are due for re-negotiation and take the necessary action. We can also assist with credentialing needs, re-credentialing, staff education and more! *additional charges apply.